Three cases of traumatic ureteropelvic junction injury in children
10.3760/cma.j.cn101070-20231019-00294
- VernacularTitle:儿童外伤性肾盂输尿管连接部损伤3例
- Author:
Chun ZHANG
1
;
Liqu HUANG
;
Yongji DENG
Author Information
1. 南京医科大学附属儿童医院泌尿外科，南京 210008
- Keywords:
Child;
Ureteral injury;
Blunt abdominal trauma;
Injury of pyeloureteral junction;
Subcalyceal ureterostomy
- From:
Chinese Journal of Applied Clinical Pediatrics
2024;39(7):540-543
- CountryChina
- Language:Chinese
-
Abstract:
A retrospective analysis was conducted on the clinical data of three cases of traumatic ureteropelvic junction (UPJ) injury in children treated at the Nanjing Children′s Hospital from May 2021 to May 2022.The clinical characteristics and diagnosis and treatment principles of traumatic UPJ injury in children were analyzed.All three patients had complete rupture of the UPJ, diagnosed at the age of 3 days, 10 days, and 3 months, respectively.The primary repair was attempted in all patients.The first patient underwent primary repair successfully, while the second and third patients developed anastomotic stenosis after surgery.After secondary anastomosis surgery, urinary tract patency was ultimately restored.There were no characteristic clinical manifestations in the early stage of traumatic UPJ injury in children.Most imaging examinations can not accurately diagnose the injury.Retrograde pyelography is an effective method for diagnosing ureteral injury in children.Early diagnosis is positively correlated with the prognosis of pediatric patients with traumatic UPJ rupture.Pyeloplasty is the preferred surgical procedure for this type of injury, and subcalyceal ureterostomy is an optional procedure for treating complex pediatric traumatic UPJ injuries.
